Steven D Peters, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D15201 Issued in TX

Practice address

3605 NE Loop 286
Suite 1200
Paris, TX 75460-5000

Phone

(903) 785-2541

Fax

(903) 785-2045

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2016 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1528124351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 NE LOOP 286",
            "address_2": "SUITE 1200",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605000",
            "telephone_number": "903-785-2541",
            "fax_number": "903-785-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 NE LOOP 286",
            "address_2": "SUITE 1200",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605000",
            "telephone_number": "903-785-2541",
            "fax_number": "903-785-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "D15201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy Penwell, PTA
• Perry Counseling Services
• Andrea Perry, PH.D, LPC, NCC
• Kristy L Perry, LVN
• Oluwole Olugbenga Peters, PHARMD
• Brent Lee Peterson, D.C.
• Danise A Petticrew, RN, FNP-C
• Terrie Ashlyn Petty, FNP
• Kimberly L. Pham, D.D.S.
• Irene Philip, DO

• Oral and Maxillofacial Surgery (Dentist) in Paris, TX
• Providers in Paris, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.